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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Gordon Edgar Wuebbolt, M.D.

Ophthalmology Physician in Warren, PA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548234255

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Registry record

Entity type Individual (Type 1)
Name Dr. Gordon Edgar Wuebbolt
Credential M.D.
Sex Male
Practice address Warren, PA, 16365
Phone (814) 726-2303
Fax (814) 726-7459
Enumeration date Feb 17, 2006
Last updated in NPPES Oct 13, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

156FX1100X Ophthalmic Technician/Technologist Eye and Vision Services Providers · License MD052930L (PA) Secondary
156FX1100X Ophthalmic Technician/Technologist Eye and Vision Services Providers · License 219642-1 (NY) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 219642-1 (NY) Secondary
207WX0200X Ophthalmic Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License 219642-1 (NY) Secondary
207WX0200X Ophthalmic Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License MD052930L (PA) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License MD052930L (PA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
001464588 Medicaid PA -
02155728 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Gordon Wuebbolt practice?
The practice location on file with NPPES is in Warren, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Gordon Wuebbolt?
The National Provider Identifier (NPI) for Gordon Wuebbolt is 1548234255, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-13.